From battlefront to homefront: creation of a civilian walking blood bank

Maxwell A Braverman, Alison Smith, Charles Patrick Shahan, Benjamin Axtman, Eric Epley, Scott Hitchman, Elizabeth Waltman, Christopher Winckler, Susannah E Nicholson, Brian J Eastridge, Ronald M Stewart, Donald H Jenkins

Transfusion. 2020 Jun;60 Suppl 3:S167-S172

Hemorrhagic shock remains the leading cause of preventable death on the battlefield, despite major advances in trauma care. Early initiation of balanced resuscitation has been shown to decrease mortality in the hemorrhaging patient. To address transfusion limitations in austere environments or in the event of multiple casualties, walking blood banks have been used in the combat setting with great success. Leveraging the success of the region-wide whole blood program in San Antonio, Texas, we report a novel plan that represents a model response to mass casualty incidents.